NPI | 1063577443 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRILL CLOVE Executive Director 435-628-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2006-ALI-50452) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2020-08-22 |